Organization
COMMUNITY GUIDANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRIN JAMES MIKULA (CFO)
(724) 465-5576
Entity
Organization
Contact information
Practice address
490 JEFFERS ST, DU BOIS, PA 15801-2438
(814) 371-1100
(724) 465-6379
Mailing address
793 OLD ROUTE 119 HWY N, INDIANA, PA 15701-1372
(724) 465-5576
(724) 465-6379
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
04/11/2018
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